Hemiplegia in typhoid fever / by William Osler.

  • Osler, William, Sir, 1849-1919
Date:
[1900]
Catalogue details

Licence: In copyright

Credit: Hemiplegia in typhoid fever / by William Osler. Source: Wellcome Collection.

    15/22 (page 371)
    The urine showed a trace of albumin and latterly a few granular tube casts. The Widal reaction was positive. Autopsy.—Well marked, ordinary intestinal lesions of typhoid fever. Dr. Barker reported that it was not at all easy to make out the lesion when the brain was cut up at first. After the hardening was complete the lesion was perfectly well defined and easily seen, consisting of an area of softening in the upper pax-t of the light internal capsule about the size of a small hickory nut, situated just lateral from the caudate nucleus, and a little medial and slightly dorsal from the upper border of the cortex of the island of Eeil. The necrosis must have immlved practically all of the fibres of the pyramidal tract of the right side, and was xindoubtedly due to a plugging of a branch of the artei’v supplying the area. 26